女性生殖道解脲支原体合并人型支原体感染药敏分析及疗效观察

Drug sensitivity of ureaplasma unrealytium accompanying mycoplasma hominis infection in female genital tract and its therapeutic effect

  • 摘要: 目的 评价联合用药与单独用药治疗女性生殖道感染的疗效。方法 将2009年10月-2010年10月我院妇科门诊就诊76例生殖道解脲支原体(Ureaplasma Urealyticum)合并人型支原体(Mycoplasma Hominis)感染患者随机分成2组。联合用药组:外阴阴道冲洗(0.9%氯化钠注射液稀释5%碘伏1∶10),口服强力霉素每次4mg,1次/d,连服7d,同时干扰素栓剂置阴道深部,隔日1次,共14d。单独用药组:口服强力霉素每次4mg,1次/d,共7d。停药1周后行妇科检查,停药2周后做宫颈支原体培养。结果 76例患者对强力霉素、交沙霉素、美满霉素较敏感,敏感率依次为61.9%、59.2%和50%,而对罗红霉素、螺旋霉素、克拉霉素高度耐药,耐药率依次为90.8%、88.2%和76.3%。联合用药组总有效率92.1%,单独用药组总有效率78.9%,有显著差异(P<0.001)。结论 应用外用干扰素栓剂联合强力霉素比单独口服强力霉素治疗女性生殖道解脲支原体合并人型支原体感染效果好。

     

    Abstract: Objective To evaluate the therapeutic effect of combined doxycycline and interferon suppository or doxycycline alone on female genital tract infection. Methods Seventy-six patients infected with ureaplasma unrealytium and mycoplasma hominis who visited our department from October 2009 to October 2010 were randomly divided into combined drug treatment group(group A) and single drug treatment group(group B).Vulvovagina of patients in group A was irrigated with 0.9% normal saline and 5% iodophor(1:10).Then,the patients were treated with doxycycline(4mg),once a day for 7 days.Interferon suppository was placed in the deep vagina,every other day for 14 days.Patients in group B were treated with oral doxycycline only(4mg),once a day for 7 days.One week after withdrawal of the drugs,the patients in two groups underwent gynecological examination.Two weeks after withdrawal of the drugs,mycoplasma from cervix was cultured. Results The sensitivity rate of the 76 patients to doxycycline,josamycine and minocycline was 61.9%,59.2% and 50%,respectively.Their drug resistance rate to roxithromycin,spiromycin,Clarithromycin was 90.8%,88.2% and 76.3%,respectively.The total effective rate for groups A and B was 92.1% and 78.9%,respectively(P<0.001). Conclusion The therapeutic effect of combined doxycycline and interferon suppository is better than doxycycline only on ureaplasma urealyticum accompanying mycoplasma hominis infection in female genital tract.

     

/

返回文章
返回